Displaying 159431-159440 of 1611142 results.
ID:
159431
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159432
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159433
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159434
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159435
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159436
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159437
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159438
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159439
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159440
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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